Shannon Mcclure Kelly, MD | |
111 Michigan Ave Nw, Orthopaedic Surgery, Washington, DC 20010-2978 | |
(202) 476-4063 | |
(202) 476-4613 |
Full Name | Shannon Mcclure Kelly |
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Gender | Female |
Speciality | Orthopaedic Surgery - Pediatric Orthopaedic Surgery |
Location | 111 Michigan Ave Nw, Washington, District Of Columbia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053491787 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XP3100X | Orthopaedic Surgery - Pediatric Orthopaedic Surgery | MD034912 (District Of Columbia) | Primary |
Entity Name | Childrens Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912939703 PECOS PAC ID: 0244143170 Enrollment ID: O20031107000130 |
Mailing Address | Practice Location Address |
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Shannon Mcclure Kelly, MD 111 Michigan Ave Nw, Washington, DC 20010-2978 Ph: (202) 476-4063 | Shannon Mcclure Kelly, MD 111 Michigan Ave Nw, Orthopaedic Surgery, Washington, DC 20010-2978 Ph: (202) 476-4063 |
Fred Mo, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3800 Reservoir Rd Nw, Washington, DC 20007 Phone: 202-444-8766 Fax: 202-444-1655 | |
Dr. Panagiotis A Labropoulos, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2150 Pennsylvania Ave Nw, 7th Floor, Washington, DC 20037 Phone: 202-741-3305 Fax: 202-741-3313 | |
Dr. Harvey M. Cohen, M. D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: Walter Reed Army Medical Ctr, Washington, DC 20307 Phone: 202-782-0292 Fax: 202-782-6845 | |
Olivia Mae Larussa, PA-C Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 900 23rd St Nw, Washington, DC 20037 Phone: 202-741-3000 | |
Dr. Craig Robert Faulks, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Washington Cir Nw, Suite 404, Washington, DC 20037 Phone: 202-333-2820 Fax: 202-833-1410 | |
Dr. Melinda Miller Gardner, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3301 New Mexico Ave Nw, Ste 248, Washington, DC 20016 Phone: 202-244-0706 Fax: 202-686-6278 |